关键词: 肝细胞癌, 美国国立综合癌症网络, 调强放射疗法, 质子束疗法

Abstract:

Updates and interpretations of the NCCN Clinical Practice Guidelines 2015 on hepatocellular carcinoma                LIU Lian-xin, LI Ke-yu. Hepatic Surgical Ward of the First Affiliated Hospital of Harbin Medical University, Harbin 150001,China
Corresponding author:LIU Lian-xin, E-mail: liulianxin@medmail.com.cn
Abstract    The updates of NCCN clinical practice guidelines in oncology 2015 V1 on liver cancer include: ultrasound was updated to the primacy as a screening tool; in the part of surgery, the guidelines mentioned that there were controversies about those patients whose tumor characteristics are marginally outside of the UNOS criteria and may be considered for liver transplantation, furthermore, patients with tumor characteristics beyond Milan criteria that are downstaged to within criteria can also be considered for transplantation; the priority of locoregional therapy was recommended in inoperable patients and TARE, IMRT and PBT were updated. NCCN clinical practice guidelines in oncology offer sufficient information for clinic, but due to the difference of race and region and the heterogeneity of tumor, the new updates would go better through the clinical practice.

Key words: hepatocellular carcinoma (HCC), National Comprehensive Cancer Network (NCCN), intensity-modulated radiation therapy (IMRT), proton beam therapy (PBT)